Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.45 / $66.45 / $66.45	Facility	26	$66.45	$66.45	$66.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $330.02 / $367.71 / $572.33	Professional		$330.02	$367.71	$572.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.03 / $53.78 / $84.25	Professional	26	$49.03	$53.78	$84.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $280.99 / $312.06 / $488.08	Professional	TC	$280.99	$312.06	$488.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $349.80 / $411.54 / $611.04	Professional		$349.80	$411.54	$611.04
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $58.24 / $71.23 / $104.90	Professional	26	$58.24	$71.23	$104.90
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $291.56 / $343.02 / $506.14	Professional	TC	$291.56	$343.02	$506.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $412.77 / $574.92 / $741.28	Professional		$412.77	$574.92	$741.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.37 / $91.08 / $122.78	Professional	26	$68.37	$91.08	$122.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $344.40 / $483.85 / $618.50	Professional	TC	$344.40	$483.85	$618.50
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $388.29 / $449.25 / $842.90	Professional		$388.29	$449.25	$842.90
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $68.01 / $78.69 / $147.63	Professional	26	$68.01	$78.69	$147.63
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $320.27 / $370.56 / $695.26	Professional	TC	$320.27	$370.56	$695.26
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $330.02 / $379.53 / $572.33	Professional		$330.02	$379.53	$572.33
Martin's Point Facility/Professional Professional Modifier 26 Low / Median / High Price $49.03 / $56.39 / $84.25	Professional	26	$49.03	$56.39	$84.25
Martin's Point Facility/Professional Professional Modifier TC Low / Median / High Price $280.99 / $323.13 / $488.08	Professional	TC	$280.99	$323.13	$488.08
United Facility/Professional Professional Modifier Low / Median / High Price $335.36 / $500.76 / $656.78	Professional		$335.36	$500.76	$656.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $68.01 / $83.84 / $110.96	Professional	26	$68.01	$83.84	$110.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $277.39 / $418.29 / $545.82	Professional	TC	$277.39	$418.29	$545.82